Experienced Healthcare Professional with 20+ Years in Clinical and

Shanta D. McKinney

**** ********* **. ******, **** 43613 419-***-**** ***********@*****.***

Experienced healthcare professional with over 20 total years of clinical and administrative experience in healthcare. For the past 10 years I have assisted with pharmacy prior authorizations for a regional insurance provider.

EDUCATION / CERTIFICATION

University of Toledo Toledo, Ohio 2016-2017

Completed 6 courses toward a bachelor’s degree in health care administration

Davis College Toledo, Oh Graduation Date: May 2002

Associate Degree in Applied Science with major in Medical Assisting

Obtained Medical Assistant Certification in January 2003

PROFESSIONAL EXPERIENCE

Neighborhood Health Association Toledo, Ohio 2023-present

Medical Assistant

Responsible for rooming patients and obtaining vital signs prior to patients being seen by the provider

Administered injections to patients

Completed administrative functions such as check in, check-out, referral placement and telephone triage

Completes required documentation via the electronic medical record

Paramount Healthcare Maumee, Oh 2013-2022

Pharmacy Review Coordinator

Responsible for reviewing prior authorization requests for medications from providers’ offices

Obtained additional information from providers and pharmacies as required

Discuss pending cases with medical directors to reach final determination

Communicate final determination to members and / or providers

Promedica Physicians Group Toledo, Oh 2011 – 2013

Central Billing Office Associate

Responsible for obtaining prior authorizations for ordered procedures

Reviewed patient records to ensure insurance policy guidelines were met

Initiate appeals for denied prior authorizations

Communicate determination statis to patients via phone or in writing.

Promedica Physicians Group Toledo, Oh 2002 - 2011

Medical Assistant, Drs. Gross, James and Kessler

Responsible for rooming patients and obtaining vital signs prior to patients being seen by the physician

Assisted physicians with minor procedures

Administered injections to patients

Completed administrative functions such as check in, check-out, insurance referral placement and telephone triage

PERSONAL SKILLS AND ATTRIBUTES

Excellent verbal and written communication

Capable of analyzing and detecting issues

Ability to work independently

Able to work with various personalities

Flexible and adaptive to change

Proficient with Microsoft Office Suite

Proficient with electronic charting

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